The effect of private hospitals development on the operational efficiency of public hospitals in Chi-na:An empirical analysis based on the Malmquist-Tobit method
10.3969/j.issn.1674-2982.2018.06.004
- VernacularTitle:民营医院发展对中国公立医院运营效率的作用机制研究——基于Malmquist-Tobit工具的实证分析
- Author:
Hua-Wei TAN
1
,
2
;
Pei-Lin ZHANG
;
Xian LIU
;
Wan-Hui ZHENG
;
Yun ZHANG
;
Fei CHEN
Author Information
1. 重庆市医院成本管理研究中心 重庆 400700
2. 西南大学经管学院医院管理研究所 重庆 400700
- Keywords:
Private hospitals;
Public hospitals;
Operational performance;
Action mechanism;
Structural competition
- From:
Chinese Journal of Health Policy
2018;11(6):21-28
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To analyze the effect of private hospitals development on the operational efficiency of public hospitals. Methods: The effect was performed using the Malmquist-Tobit Method. Results: The results found that from 2010 to 2015, the average factor of Total Productivity Index ( TPI) of the Chinese public hospitals was 1. 036 and the contribution rates of technological progress and technical efficiency were 66. 7% and 33. 3% , respec-tively. The coefficients of correlation between total productivity index, technological progress and technical efficiency were 0. 328, 0. 742. The structure optimization of private hospitals exerted a very significant inhibitory effect on the operating efficiency of public hospitals. The core resources of private hospitals were significantly promoted, and the number of public hospitals and scale of industries were not significant as per results revealed. Conclusion: The opera-tional efficiency of the public hospitals in China was in the overall improvement stage, but there was a threat of irreg-ular negative growth associated with regional and inter-provincial differentiation. The operational efficiency was driven by the technical progress and efficiency double paths. The effect of private hospitals on operational efficiency of pub-lic hospitals was characterized by heterogeneity, asymmetry and threshold characteristics under the framework of structural competition between private and public hospitals.
